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Autism is often a devastating diagnosis for families to cope with and understand. In addition to the diagnosis and coping with the child’s aberrant behavior, the limitations on funding for necessary behavioral interventions add even more stress for these families. Coupled with tight governmental funding, family financial constraints can make implementing home-based behavior- analytic programming difficult if not impossible. In recognition of this problem, Pennsylvania Act 62 of 2008 [originally House Bill (HB) 1150 of 2007], requires health insurance companies to cover up to $36,000 yearly for behavioral and other clinical services until the age of 21. HB 1150 was opposed by insurance companies and business lobbyists, who argued that these services were adequately covered by the State Medicaid Plan, and they did not want to increase service costs for all members. Ultimately, policy makers passed HB 1150, securing “Pennsylvania’s status as the national leader when it comes to helping families to deal with autism by ending discrimination in insurance coverage” (O’Brien, 2008).
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